Individual
JEREMIAH R HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2775 VILLAGE PT, CHESTERTON, IN 46304-0099
(219) 304-6700
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
(847) 441-4130
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09004094A
IN
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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